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Langenbeck's Archives of Surgery

, Volume 396, Issue 6, pp 851–855 | Cite as

How to do it—laparoscopic resection rectopexy

  • Uwe Johannes RoblickEmail author
  • Franz Georg Bader
  • Thomas Jungbluth
  • Tilman Laubert
  • Hans Peter Bruch
Original Article

Abstract

Introduction

A variety of surgical strategies have been suggested and many surgical techniques, both abdominal and perineal, have been introduced for treatment of rectal prolapse. All these techniques and approaches are based on the attempt to restore the normal anatomy and physiologic function.

Methods

In 1992, Berman et al. published the first laparoscopically performed rectopexy. Meanwhile, many different minimally invasive procedures have been described. Throughout the past century, more than 100 different surgical techniques have been introduced to treat patients with rectal prolapse. Unfortunately, there is still lack of one generally accepted standard technique for the surgical treatment of rectal prolapse.

Results and discussion

Our current data strongly supports laparoscopic resection rectopexy to be a safe, fast, and very effective procedure to improve function in patients with rectal prolapse. More evaluations of long-term outcome are needed that focus on each particular laparoscopic procedure to adequately compare different techniques. The indication to perform a laparoscopic resection rectopexy in patients with a previous perineal procedure and a recurrent prolapse should be stated critically because these patients seem to have a high risk to develop yet another recurrence.

Keywords

Rectal prolapse Laparoscopy Resection rectopexy Surgical technique 

Notes

Conflicts of interest

None.

Supplementary material

ESM 1

(MPG 120243 kb)

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Uwe Johannes Roblick
    • 1
    Email author
  • Franz Georg Bader
    • 1
  • Thomas Jungbluth
    • 1
  • Tilman Laubert
    • 1
  • Hans Peter Bruch
    • 1
  1. 1.Department of SurgeryUniversity of Schleswig-Holstein, Campus LübeckLübeckGermany

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